Reimbursement Coordinator: Hpa Billing, Follow Up & Denials (Days, M-F): Remote

REIMBURSEMENT COORDINATOR: HPA BILLING, FOLLOW UP & DENIALS (DAYS, M-F): REMOTE

• 23000763

HOURS: Monday through Friday day shift

DEPARTMENT: HPA Billing Follow Up & Denials Fac

WORK LOCATION: Remote

SALARY: $22.00/HR - $34.74/HR

BASIC FUNCTION AND RESPONSIBILITY:

To coordinate the billing and/or reimbursement processes for a health care services unit with regard to Medicare, Medicaid, Champus, and related areas.

ESSENTIAL FUNCTIONS:

Coordinate the audit of claims/reimbursements/reports/etc. for Medicare, Medicaid, Champus, and related areas. Research patient record documentation and prepare letters to appeal adverse determinations in payment. Research reimbursement issues and writes responses to clarify or refute clinical decisions made by payers; keep appropriate staff and departments informed of applicable regulatory changes to billing and coding rules.
Prepare and/or perform special assignments/projects, conduct feasibility studies, and perform related financial and/or clinical analysis.
Work closely with other professionals and administrators, internal and external to the University, to resolve reimbursement issues. May complete unit/department specific duties and expectations as outlined in department documents.

KNOWLEDGE, SKILLS AND ABILITIES:

Knowledge of applicable computer software and procedures.

SUPERVISION RECEIVED:

Direction is received from Manager.

SUPERVISION EXERCISED:

Functional supervision may be exercised over professional and/or office support staff.

REQUIRED QUALIFICATIONS:

Bachelor’s degree in health care, accounting, or a related field, or an equivalent combination of education and experience from which comparable
knowledge, skills and abilities can be acquired. Two (2) years of experience in a reimbursement or health care related field.

PREFERRED QUALIFICATIONS:

Additional license/certification requirements as determined by the hiring department.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. The employee may be required ambulate, remain in a stationary position and position self to reach and/or move objects above the shoulders and below the knees. The employee may be required to move objects up to 10 lbs.

PERFORMANCE EXPECTATIONS:

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job; however, completion of these duties is a measure of successful performance. Employees of this job classification are subject to performance
reviews. Basic function, responsibilities and characteristics duties may change at any time with or without notice.

SAFETY SENSITIVE STATUS:

This position is considered safety sensitive.This document is a general description of typical job duties, responsibilities and qualifications of employees holding the associated job title. Additional duties, specific qualifications and work emphasis may vary between individual positions.